Briefly describe the clinical issue or problem for your project, the setting, and population of interest to orient classmates and faculty Since hyperlipidemia is a common risk factor for cardiovascular disease, adults with a new diagnoses of hyperlipidemia must have their levels kept under control to avoid the devastating outcomes that can arise from having uncontrolled hyperlipidemia. Nonpharmcologic lifestyle changes have been proven to be an effective first-line treatment for hyperlipidemia because of the changes that can be seen in one's total cholesterol, low density proteins, and high density proteins, but the problem arises on how much education is really being given to patients by their providers (Kelly, 2010). Providers in the outpatient setting are well aware of the recommendations in place on the amount of physical exercise that their patients should to be engaging in on a weekly basis, but the issue is how the information is being relayed to the patients. …show more content…
Describe the intervention you plan to test The intervention that will be tested is the development and initiation of a standardized twenty minute educational video on the proven duration and benefits of exercise. The development of the video will involve a core group of professionals that include selected patients, advanced practice providers, and physicians. Patients in the intervention group will watch the video in their provider's office at the end of the visit after a diagnosis of hyperlipidemia is given. At the completion of the video, the patient will be informed to keep a log of the amount and duration of their weekly exercise. What type of study will you conduct? Will it be experimental? Quasi-experimental? Provide a rationale for your
Cardiovascular disease is the number one killer in the United States, causing about 610,000 deaths yearly (Center for Disease Control and Prevention, 2015). Cardiovascular disease is defined as a group of disorders damaging the heart and blood vessels, usually involving the blockage of vessels, which in turn harm the heart (WHO, 2015). A 2011 American Heart Association statement predicted that without intervention, 40% of United States adults will have at least one form of Cardiovascular disease by 2030. A large portion of these deaths by cardiovascular disease is due to the sedentary population. To better prevent cardiovascular disease, the Physical Activity Guidelines for Americans Advisory Committee stated that adults should complete about 150 minutes of moderate intensity physical activity, or 75 minutes of vigorous intensity physical activity weekly (Barry, Blair, Church, Hooker, Sui, Warren, 2010). Research has shown that meeting these recommendations is linked with lower cardiovascular disease risk, as well as reduced risk of mortality. The Center for Disease Control and Prevention estimates that only about 20.3% of Americans meet these guidelines. These statistics show that the majority of the United States population does not get nearly the amount of physical activity they need. However, even though many people are not doing the recommended amount of physical activity, this may not mean that they are living a sedentary life. Living a sedentary lifestyle is
3- How would you make it an experimental (rather than correlational) study (it might help to be specific here as well and define the two types of studies in your
Liver is known as the metabolic port of entry for any endobiotic and xenobiotic substance. The anabolism and catabolism of most of the nutrients are in major performed by the liver. Carbohydrate, protein and fat metabolism by the liver is of significance as the anomalies in metabolism of these nutrients may introduce several types of metabolic syndromes. The protective effects of aqueous green tea extract have been shown on hyperglycaemia, hyperlipidaemia and liver dysfunction in diabetic and obese rat models [74]. Different nutrients combinations were tested in a long-term feeding in experimental mouse model. Regional and continental food habit and practices are very much different. Effects of Western, vegetarian, and Japanese dietary fat
Choosing one of the case studies that you developed within your group during the class, explain the cause of the person’s symptoms and construct an hypnoanalysis treatment plan and required outcome.
Patient education: The importance of dieting and exercise is crucial, especially in the modern age we are living in. Staying healthy in America is becoming a serious challenge to most people; cutting down on some fat and going for a weekly physical activities to the gym could make a substantial difference in one’s life. Dieting is so important, considering the amount of carbs and calories the average American consumes each day.
3. What are the advantages and disadvantages of an experimental design in an educational study?
Cardiovascular and metabolic diseases are a growing problem around the world today. Not only do diseases such as diabetes and heart disease affect individuals and their lifestyles, they also affect the economy, politics, education and the professional work environment. 20-26% of individuals in the United States live with heart disease, and obesity and high blood pressure compose the greatest factors for developing this disease [20]. Studies have shown a direct correlation between the amount of sedentary time and cardiovascular and metabolic disease risk, regardless of baseline measurements [20]. Thus, increase in physical activity will decrease cardiometabolic risk factors [8]. Several studies indicate a positive correlation between physical activity and decreased cardiometabolic risk markers [2,4,11,16]. However, we now know that an individual who is getting the recommended physical activity per day can still have a large amount of sedentary time.
High cholesterol is one of the most common diseases that occur in today's society. According to Centers for Disease Control and Prevention, 71 million American adults have high LDL "bad" cholesterol. When cholesterol levels are normal, they normally do not harm the body since cholesterol can be beneficial to the body. However, if excess amounts of cholesterol are in the body, it can become a threat. "Cholesterol is a waxy substance that plays an important role in building cell membranes and sex hormones" (Overview). The certain types of food you consume on a daily basis may affect the cholesterol levels in your blood. There are two types of cholesterol, which is your HDL (high density lipoprotein), "good", cholesterol, and your LDL (low density lipoprotein), which are the "bad" cholesterol. It is critical that an individual maintains his or her cholesterol levels because he or she can increase their risk of cardiovascular disease. LDLs are known to carry cholesterol into your arteries and clog them, which can cause strokes and heart attacks. On the other hand, HDL, help eliminate cholesterol from the arterial vessels and transport it to the liver, which is then defecated with body waste. According to Sroda, an individual's total cholesterol should be less than 200, LDL levels should be less than 130,
Education is important to keep the body in top conditioning. A person could workout everyday, but if they are not customizing their workout to their body’s condition, then their outcome will not be as favorable. Perhaps a high cholesterol awareness week that could offer several fitness classes highlighting exercises that reduce cholesterol levels. Another method to get the message out regarding high cholesterol is print and publication. Thus, a flyer or poster could also include a few great cholesterol factoids, Yet I researched the question and discovered another perspective at webmd.com. Writer Patrick McBride, MD, MPH, director of the preventive cardiology program and the cholesterol clinic at the University of Wisconsin School of Medicine and Public Health enlightens readers. Mr. McBride provides researched based evidence that resistance training has powerful effects on lowering cholesterol. Thus, it is recommended that exercisers mix up their workout to include strength, aerobic and stretch exercises (qtd. in
As previously determined, multiple risk factors contribute to a person developing cardiovascular disease. For further discussion, obesity will be the primary risk factor discussed due to the high obesity rate in the county I currently reside in. Guernsey County, Ohio, boasts an alarming high rate of residents who lack sufficient physical activity at 83.3%. This is an alarming finding but one that arguably contributes to the obesity rate of Guernsey County’s population at 30.2% which is just above the national percentage of 28.1% in America (city-data.com, 2014).
Describe the type of research design that will be used in your research, and why you selected this particular type over other types available. Include any assumptions made that influenced your choice. Describe as best you can how you are going to carry out this experiment, step by step. Remember that you do not have to carry out the evaluation, but you should be creating a "recipe" that you and others can follow to aptly answer the question of interest.
According to the Centers for Disease Control and Prevention (CDC) (2014), only 21% of Americans are sufficiently physically active according to the guidelines set forth in 2008. Thus, living a sedentary lifestyle has become an epidemic, and one that is not without consequence. The CDC (2014) further states that one’s risk for heart disease, type 2 diabetes mellitus, stroke, depression, some cancers, and early death is noticeably higher for those living a sedentary lifestyle. Certainly, then, promoting physical activity is a simple intervention providers should practice to prommote overall health and prevent or delay the onset of disease. A motivational interview was conducted with Cherish Brown, a 22-year-old
3. Haennel RG, Lemire F. Physical activity to prevent cardiovascular disease. How much is enough? Canadian Family Physician 2002; 48: 65-71. Available at: http://www.cfp.ca/cgi/reprint/48/1/65
Many people suffer from type 2 diabetes, a type of metabolic disease (Curry et al., 2015; Hawley & Gibala, 2012). The prevalence of this disease has been increasing; one reason for this increase could be increased consumption of food as well as decreased prevalence of physical activity (Hawley & Gibala, 2012). Patients with type 2 diabetes are not able to metabolise glucose properly (Curry et al., 2015). Type 2 diabetes can cause patients to be very thirsty, excessively weary, and to experience a broad variety of other symptoms (Tovi & Engfeldt, 1998). It is often treated with insulin in order to help the body metabolise glucose (Tovi & Engfeldt, 1998). However, taking insulin can result in weight gain (Tovi & Engfeldt, 1998). Fat of the abdomen can be an indicator of the likelihood of developing cardiovascular disease in an individual with type 2 diabetes, which is heavily correlated with type 2 diabetes (Siren, Eriksson, & Vanhanen, 2012). In terms of lifestyle choices, type 2 diabetes patients are often told to focus on diet, but are also encouraged to increase frequency of physical activity (Alvarez et al., 2016; Hawley & Gibala, 2012). Physical activity has been shown to decrease the amount of deaths resulting from diabetes related causes (Church et al., 2004). Increased physical activity has been shown to help glucose metabolism in patients with type 2 diabetes (Curry et al., 2015). People who suffer
One source of great mortality and morbidity in Europe and North America is the cardiovascular disease, Atherosclerosis. It is recognized as a chronic inflammatory disease of the intermediate and large arteries characterized by the thickening of the arterial wall and is the primary cause of coronary and cerebrovascular heart disease (Wilson, 2005). It accounts for 4.35 million deaths in Europe and 35% death in the UK each year. Mortality rate are generally higher in men than pre-menopausal woman. Past the menopause, a woman’s risk is similar to a man’s (George and Johnston, 2010). Clinical trials have confirmed that lipid accumulation, endothelial dysfunction, cell proliferation, inflammation matrix alteration and foam cell formation are